Active NPI
Alexandra Roberts, APRN
- Nurse Practitioner
- Rochester, NH
National Provider Identifier
1629142963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 042534-23-03
- Practice address
- 6 Healthcare Drive, Suite 2
Rochester, NH 03867 - Phone
- (603) 330-3404
- Fax
- (603) 332-8175
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 042534-23-03 | NH | Primary |
Addresses
Primary practice location
6 Healthcare Drive, Suite 2
Rochester, NH 03867
Mailing address
6 Healthcare Drive, Suite 2
Rochester, NH 03867
Phone (603) 330-3404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102001054 | NH | Practitioner - Nurse Practitioner | 4082632633 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1629142963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HEALTHCARE DRIVE, SUITE 2",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "03867",
"telephone_number": "603-330-3404",
"fax_number": "603-332-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HEALTHCARE DRIVE, SUITE 2",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "03867",
"telephone_number": "603-330-3404",
"fax_number": "603-332-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ALEXANDRA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "042534-23-03",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.